NICE Medical Technologies Evaluation

NICE's Medical Technologies Evaluation Programme (MTEP) considers technologies that could offer substantial benefits to patients and the health & social care system over current practice.  Parafricta Bootees and Undergarments were reviewed by NICE in 2014.  As a result of this evaluation the use of Parafricta products was encouraged by NICE, and Parafricta was incorporated into NICE’s care pathways for both the prevention and treatment of pressure ulcers.

Smith and Ingram (2010) - Clinical and cost effectiveness evaluation of low friction and shear garments; Journal of Wound Care Vol. 19, no 12, December 2010, pp.535-42.
Stephen-Haynes et al (2011) -  Clinical outcomes using a low friction and shear garment in the care home setting;  Wounds UK, Vol. 7, No 4, pp. 76-84.
Gleeson, D (2015) “Pressure ulcer reduction using low-friction fabric bootees” British Journal of Nursing (Tissue Viability Supplement) 24 (6)
Gleeson, D (2016) “Heel Pressure Ulcer prevention: a 5-year initiative using low-friction bootees in a hospital setting”” Wounds UK Vol12 No4
Gefen, A (2017) “Why is the heel particularly vulnerable to pressure ulcers” British Journal of Nursing Vol 26 No20 Tissue Viability Supplement
Schofield, A (2018) “Mitigating the damaging effects of tissue distortions by using a low-friction heel protector” British Journal of Nursing | Vol. 27 | No. Sup12 | pp S27–S34
Hollen,L et al (2018)  “The SILKIE (Skin graftIng Low friKtIon Environment) study: a non-randomised proof-of-concept and feasibility study on the impact of low-friction nursing environment on skin grafting success rates in adult and paediatric burns”  BMJ Open 2018;8
Sylvie Hampton et al.(2009) Parafricta Fabric: Can it reduce the potential for pressure ulcer damage; Journal of Community Nursing, April, Vol. 23, Issue 4, pp. 28-31
Hampton, S. (2007). 'Reducing shearing forces: Parafricta Fabric'. Nursing and Residential Care. Vol. 9, No 12, pp. 580-582
Kerr, A. (2008). 'Reducing shear and Friction: Parafricta undergarments'. Nursing and Residential Care. Vol. 10, No 01, pp 626-628
Bree-Aslan, C. and Hampton, S. (2013) 'Parafricta and the prevention of shearing forces: heel ulcers'. Nursing and Residential Care, Vol. 10, No. 01, pp, 78-80

Safety thermometer Data 

Using data from NHS England this presentation shows how the use of Parafricta products in one NHS trust reduced the number of category 2-4 pressure ulcers.

Pressure Ulcer in the UK from safety thermometer data

NICE Pressure Ulcer pathway )

This guideline covers risk assessment, prevention and treatment in children, young people and adults at risk of, or who have, a pressure ulcer (also known as a bedsore or pressure sore).

Tissue Viability Society )

The mission of the TVS to disseminate information, promote research and increase awareness of all aspects of good clinical practice in wound prevention and management.

European Pressure Ulcer Advisory Panel )

An organisation which provides European research, education and advocacy for pressure ulcer prevention and treatment. Contributor to international guidelines on the prevention and treatment of pressure ulcers.

Pressure Ulcer Prevention Video - Northumbria NHS